Page 1 of 6Form 530BLast Revised: 06/2019 Toll Free: 877.767.3453 | Central Ohio: 614.466.3910 OhioSoS.gov | business@OhioSoS.gov File online or for more information: OhioBusinessCentral.gov Filing Form Cover LetterPlease return the approval certificate to: Address: City: ZIP Code: Phone Number: E-mail Address: Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's office regarding Business Services. Check here if you would like to be signed up for our Filing Notification System for the business entity being created or updated by filing this form. This is a free service provided to notify you via e-mail when any document is filed on your business record. Please make checks or money orders payable to: "Ohio Secretary of State" Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW) Regular Service: Only the filing fee listed on page one of the form is required and the filing will be processed in approximately 3-7 business days. The processing time may vary based on the volume of filings received by our office. Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page one of the form, the filing will be processed within 2 business days after it is received by our office. Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page one of the form, the filing will be processed within 1 business day after it is received by our office. This service is only available to walk-in customers who hand deliver the document to the Client Service Center. Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00 p.m. This service is only available to walk-in customers who hand deliver the document to the Client Service Center. Preclearance Filing: A filing form, to be submitted at a later date for processing, may be submitted to be examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The Preclearance will be complete within 1-2 business days. Name (Individual or Business Name): To the Attention of (if necessary): State American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 6Form 530BLast Revised: 06/2019Toll Free: 877.767.3453 Central Ohio: 614.466.3910 OhioSoS.gov business@OhioSoS.gov File online or for more information: OhioBusinessCentral.gov Mail this form to one of the following: Regular Filing (non expedite) P.O. Box 670 Columbus, OH 43216 Expedite Filing (Two business day processing time. Requires an additional $100.00) P.O. Box 1390 Columbus, OH 43216 Foreign Nonprofit Corporation Application For License Filing Fee: $99 (152-FLN) Form Must Be Typed This application is made to procure a: Permanent License Temporary License (valid for six months) Name of Corporation (Name must match the name on the Certificate of Good Standing) Jurisdiction of Formation Address of the principal office (non-Ohio) is Location of the principal office in Ohio is The corporate purpose it proposes to exercise in the state of Ohio: Mailing Address City State ZIP Code Attach Certificate of Good Standing from the jurisdiction of formation (see instructions) ZIP Code Mailing Address City StateForm 530B Prescribed by: Country State Country For screen readers, follow instructions located at this path. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 6Form 530BLast Revised: 06/2019 The corporation hereby appoints the following as its statutory agent upon whom process against the corporation may be served in Ohio. The entity above irrevocably consents to service of process on the agent listed above as long as the authority of the agent continues, and to service of process upon the Ohio Secretary of State if: A. an agent is not appointed, or B. an agent is appointed but the authority of that agent has been revoked, or C. the agent cannot be found or served after the exercise of reasonable diligence. Agent Name Mailing Address City State ZIP Code Pursuant to Ohio Revised Code 1703.29(A), a foreign corporation may be required to pay an additional $250 fee if the application is being made to enable the corporation to prosecute or defend a legal action. Please see the Ohio Revised Code or Instructions for more information. If yes then: Pursuant to Ohio Revised Code 1703.29 (B), a foreign corporation that began transacting business in Ohio prior to 2009 without a license may be required to provide a certificate from the tax commissioner which states that the corporation has paid all franchise taxes which it should have paid had it qualified to do business in this state. Did the corporation begin transacting business in Ohio prior to 2009 without obtaining a license? No, the corporation is not filing for this purpose and an additional fee is not included. Yes, the application is being filed for this purpose and the additional $250 fee is included with the filing fee. Yes, the Certificate of Tax Clearance from the tax commissioner is attached. No, the corporation began transacting business in 2009 or later, therefore, a Certificate of Tax Clearance is not required.Appointment of Agent American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 6Form 530BLast Revised: 06/2019 , being first duly sworn, deposes and says that he/she is the of the corporation described in the foregoing application, and that the statements contained in said application are true and correct to best of my knowledge and belief. Sworn before me and subscribed on NOTARY SEAL Expiration Date of Notary's Commission Name of Officer Officer Title Corporation Name Signature Date Notary Public Date American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 6Form 530BLast Revised: 06/2019This form should be used to apply for a license to do business as a foreign nonprofit corporation. Please select the appropriate box to indicate whether the application is being made to obtain a temporary or a permanent license. A temporary license allows a corporation to transact business in Ohio for a period of six months. Pursuant to Ohio Revised Code 2471703.13, no foreign corporation shall be granted more than two temporary licenses within any period of three years. A permanent license allows a corporation to transact business in Ohio until the license is cancelled or surrendered. Please complete the entire form (as applicable) whether you have selected a temporary or permanent license. Certificate of Good Standing Pursuant to Ohio Revised Code 2471703.27, to obtain a license to transact business in Ohio, a foreign nonprofit corporation must file a certificate of good standing or subsistence, setting forth the exact corporate title and the fact that the corporation is in good standing or is a subsisting corporation, certified by the secretary of state, or other proper official, of the state under the laws of which the corporation was incorporated. General Corporation Information Please state the name of the corporation. Also, provide the name of the jurisdiction under the laws of which it was incorporated (jurisdiction of formation). Pursuant to Ohio Revised Code 2471703.27(C) and (E), provide the complete address of the corporation's principal office (non-Ohio) and the complete address of the principal office in Ohio. Purpose Clause Pursuant to Ohio Revised Code 2471703.27(D), please state the corporate purpose or privileges it proposes to exercise in Ohio. Original Appointment of Statutory Agent Pursuant to Ohio Revised Code 2471703.41, a foreign nonprofit corporation that is licensed to transact business in Ohio must appoint and maintain an agent to accept service of process on behalf of the corporation. The statutory agent must be one of the following: (1) A natural person who is a resident of this state; or (2) A domestic or foreign corporation, nonprofit corporation, limited liability company, partnership, limited partnership, limited liability partnership, limited partnership association, professional association, business trust, or unincorporated nonprofit ass